hip replacement scar tissue massage

However, scar tissue is not the same as skin tissue. Read on for this and other useful info like how to prehab for hip and knee replacements. Explore the massage/health connection and see how you can help your clients with a variety of medical challenges. According to Dr. Tiberi the most determining factors when it comes to how visible your scar will be: genetics, history of scarring, and location on the body. Limited or no success in resolving the symptoms, despite therapeutic massage. Scar tissue forms during the healing process as the body produces collagen fibres to close and heal a wound. During the healing process, there are ways to improve how your scar heals and for larger scars over joints, it's critical that you "work" your scar to prevent tightness. Massage The Scar 2-3 Times Per Day But Don’t Overdo It. 8. Patients are often unable to return to work for eight weeks. Massage will not help soften a scar … Although it's not something that's widely discussed with care teams and surgeons, the size and appearance of a scar is something that patients think about. Scar formation and scar maturation are ongoing processes. Helps improve blood flow, which promotes healing and the scar's pliability. The American College of Rheumatology states that approximately 1 in 4 Americans can expect to develop osteoarthritis of the hip during their lifetime. Helps regain feeling in the area and decrease numbness, tingling, soreness. This is one reason why scar tissue makes the joints and muscles around the scar tissue feel stiffer. Scar tissue forms when the body heals from a wound. scar tissue after hip replacement surgery. Some patients suffering with this condition will choose to treat the symptoms with non-steroidal antiinflammatory drugs, cortisone injections into the hip socket, glucosamine/chondroitin, non-weight bearing exercise such as swimming, or through the use of assistive devices, like canes, rollators and walkers. In addition, if your incision or wound is on part of the body that is under tension, is tighter, more stretched, and is less fleshy or fatty (like a shoulder, shin, or knee) your scar will be more pronounced than say, if on your buttocks. Do not massage a scar until at least 2 weeks after a surgery or injury. Patients also don’t have to be intubated during surgery, lying in a supine position instead of side-lying. Massage your scar two to three times per day with lotion for five minutes. By working the most proximal area first, massage therapists can further decrease edema and promote more distal work to get similar effects. This increase was due to several significant factors, including technological advances in prosthesis development, advances in surgical technique and an aging population. With this approach, muscles between the intramuscular and intranervous planes aren’t cut when the hip joint is replaced, making surgery and recovery easier for the patient. Additionally, a C-arm x-ray machine can take immediate images and provides the surgeon instant visualization of the prosthesis and anatomical structures, and a patient’s range of motion can be easily evaluated with the prosthesis in place, as well. Remodelling Phase: This is the final phase where your scar forms. Dr. Allan Dunn answered. It is a wonderful experience to see a patient who has had such difficulty for a period of time come to a massage therapist postoperatively with the major aspect of their problem resolved. Remedial Massage For Hip Replacement … Hi, I'm Grace. To deepen the … Here's how we recommend you massage your scar tissue at home: In early healing phases, try and massage your scar for 10-15 minutes a day (2-3 times a day for 5 mins). A: Scars will continue to heal and fade for up to two years after an incision or injury. https://www.peerwell.co/blog/2018/06/27/scar-tissue-massage-after-surgery One surgeon I saw suggeseted I have bariatric surgery first due to my obesity. By using broad strokes bilaterally on the leg from just a few inches below the joint area up to the joint, then to move further distal and then back up to the joint, and then either further distal back to the joint, the massage therapist can soften the tissue and help relieve any excess fluid in the interstitial space that can be common post-op. Post-surgery patients are … Switch it up by massaging counter-clockwise. Massage Therapy in Integrative Care & Pain Management, Localized pain, specifically in the hip region, Notice of increase pain when weight bearing, whether when walking or climbing steps, An exaggerated abnormal gait pattern or limp, Complaining of pain in the groin, primarily when turning at night, and muscle spasms in the upper leg and groin area throughout the day, Decrease range of motion, including limited movement when internally or externally rotating the leg. The incision is smaller than with the posterior approach, only four to five inches in length as compared to eight to 10. Increases range of movement and the scar's flexibility. With the development of the ceramic prosthesis, the lifespan of artificial joints has increased to at least 20 to 30-plus years—with minimal side effects. Scar Tissue Massage: Massaging along the scar decreases scar tissue build-up and helps collagen fibers form. The complications are increased scar tissue and adhesions from surgery, uneven leg length due to surgical apparatus and misalignment of the leg/knee/ankle being nonsupportive. Patients are not intubated and are lying in a supine position with this surgical approach. Change direction by slowly sliding down. Scars continue to grow and change throughout the recovery process which may take from twelve to eighteen months. However, too much of a good thing may not actually be beneficial. Osteoarthritis may be due to excessive weight bearing, sports, overuse of the joint, and the general aging process. Rose hip, Pracaxi and Tamanu oils reviewed for skin healing. Subcutaneous sutures are used for the skin approximation, and surgical glue is placed over the incision site. After surgery, you will experience the formation of scar tissue. : Faced with this scenario, many massage therapists rightly encourage the client to see their primary care physician to assess the problem. Excess scar tissue can make muscles stiff and weaker, and in some cases can require scar tissue removal surgery. Massaging the scar helps to decrease scar tissue build up and may help to make your scar less noticeable. Apply a non-perfumed Vitamin E lotion or oil to your scar area. Massaging … For most people, it’s easier and cheaper to use a handheld massager to break up scar tissue versus multiple visits to a physical therapist. Conversely, the number of traditional, posterior hip surgeries being done plunged by 91 percent,with 14.8 being performed in 2006 and only 1.3 in 2009. ... Massage scar tissue after surgery. Be careful not to rub the scar with too much pressure, as it may break open, which causes more scar tissue to form. After seeing three orthopedic surgeons for my osteoarthritic hip, I discovered that some surgeons don’t perform the anterior approach simply because they don’t want to stop their current practice and learn a new approach. Massage therapy is proving itself helpful in a large number of ways relating to health care, and preoperative and postoperative care is one. With pressure, slowly slide your finger up the scar while apply pressure. The remodelling phase in your incision healing involves the lightening of your scar as the scar heals. First go up the scar clockwise, work your way up and around your scar slowly but maintaining a firm pressure. Dr. John Tiberi, M.D.,OS (board-certified orthopaedic surgeon). During this time, the therapeutic goals of massage therapy are to decrease swelling in the more proximal anterior aspect of the upper leg and to decrease/ eliminate any pain that may be due to muscular edema from the surgical procedure. You can also play a role in healing your scar with scar tissue massage. For example, a case study done at St. Marks Hospital in Salt Lake City, Utah, indicated that from 2006, the year the hospital began using the anterior approach, to 2009, hip replacement surgeries increased by 72 percent, in part because of the efficiency of the anterior approach over the traditional, posterior approach. Dr. Tiberi completed his fellowship at Massachusetts General Hospital and Harvard Medical School in Boston, Massachusetts. Frozen shoulder, which sometimes follows surgery, involves a buildup of scar tissue around the shoulder joint, caused by irritation and inflammation. May help with the appearance of your scar. A: A scar is a mark left on your skin after an injury or an incision. Massage therapy helps in promoting the recovery process and in strengthening the muscle tissue … Hip problems typically originate from four potential causes, the most common of which is osteoarthritis, a degenerative disease that entails the loss of cartilage, gradual deterioration of the femur head and/or acetabulum, as well as the loss of joint space, leading to a painful bone on bone symptom. As scar tissue forms, nerves heal, feeling returns to the area and the scar feels less proliferated (textured). Rub the scar in a circular motion to help promote fluid drainage. Before you start massaging your scar or enlisting a professional to perform scar tissue massage, your scar has to be in a good place. As listed above, there are lots of benefits to scar tissue massage. For many people dealing with hip replacement, rehabilitation after surgery is the most challenging part of the whole process. ... the best improvement in the appearance of scar tissue is always seen with scar tissue … "Scar Healing, Size & Treatment After Joint Replacement Surgery". The second factor is the increasing use of the anterior surgical approach. Scar tissue after back surgery. Myofascial Release helps ease constriction of the affected … In fact, scars are more susceptible to UV damage and get sunburned more easily than regular skin. This approach was developed in France in the 1950s, but was not utilized in the United States until the late 1990s. Vitamin C is also a superhero when it comes to tissue growth and repair. Did you know scars don't tan...they burn? Having surgery? A hip replacement incision will produce a large scar on the outer thigh that can discourage patients from enjoying time at the beach or outside in the sun. Many times what these clients will find out is that they have a pathological hip condition. Do not massage until your incision has fully healed and is a scar (not just a wound or scab). I never experienced pain, only muscle spasms. Scar formation is a natural occurrence after surgery as scars help to strengthen the tissues that are healing. Repeat the process several times for 5 minutes or so. A 33-year-old member asked: how can i prevent scar tissue after hip replacement surgery? Enough about the basics! Therapeutic massage will help improve the range and quality of movement of the hip, break down scar tissue that will likely have formed post-surgery, help to relieve pain should you have any and increase circulation to help the healing process. For example, I had an external rotation of my lower extremity preoperative, but postoperatively, my alignment was corrected due to the surgical procedure. Learn how to effectively work with clients who have had an anterior hip replacement. Massaging scar tissue has many benefits. - YouTube Only AMTA members save up to 30% at Massage Warehouse on thousands of supplies for your practice. A mature scar is smaller, flatter, and paler. Using the pad of your thumb or finger, firmly massage in a circular motion. A: There are three phases of wound healing and scar formation after an incision is made during a surgery or a deep wound is inflicted. Whether you've had a hip replacement, knee replacement, meniscus surgery, ACL reconstruction, shoulder or back surgery, a scar is inevitable. Next, stretch the skin apart around your scar, and repeat your massaging with a firm circular motion using your thumb or finger. For tips on healing your scar faster, check out our article "Scar Healing, Size & Treatment After Joint Replacement Surgery". Excess scar tissue, layers … Once the hip prosthesis is in place, the muscles are released and the adipose and fascia are sewed back together. Explore the causes, problems, treatments, surgical approaches (and their benefits and problems) and components for joint replacement, as well as non-surgical and less invasive surgical solutions. The structural properties of a scar are different from regular skin. A very good example of this is the stiffness after a knee replacement. Although you won't have a whole lotta control over how your body will scar, there are things you can do when it comes to breaking up scar tissue and adhesions. Many patients will note a decreased sensation of swelling in the upper leg after treatment, and the massage therapist may notice a decrease in the circumference of the upper thigh. One way to reduce post-surgical scarring is to wear silicone gel sheets or apply silicone sticks to the scar … If you haven’t already seen a client with a hip problem, statistics suggest you someday will, probably in the not-too-distant future. © 2021 American Massage Therapy Association. Do you recognize any of your clients in the following symptoms? Our award-winning magazine features compelling articles on massage techniques, the science of how massage can help for client conditions, business guidance, self-care tips and more. **This is known as lymph drainage technique and is used to minimize swelling of scar tissue 7.Through this form of scar massage, your lymph nodes are prompted to drain excess fluid that commonly surrounds scar tissue … Dr. Tiberi is the winner of Dana M. Street Orthopaedic Research Award. A massage therapist’s therapeutic goals for this client include decreasing or eliminating pain that may be due to muscular spasm, decreasing muscular tightness in the quadricep area, and assisting with hip stretches as tolerated by the patient. However, the elasticity of the tissues does not measure up with the natural muscle tissues of the body. Your practitioner will use a series of deep tissue mobilization or myofascial release techniques to help reduce inflammation and encourage … AMTA offers a variety of rigorously vetted massage therapy continuing education classes and training, available online and in-person. Did you know the human head weighs 8 pounds? Scar tissue will provide your injury with more long term fusing power, but will also stick to surrounding healthy tissue in your hip. The growth of this scar tissue is what stiffens your hip … There area may feel warm, have some draininess and numbness. Scar tissue buildup after surgery. Breaks up Scar Tissue. Protect your practice with massage liability insurance included with AMTA membership. Because muscles are cut, postoperative pain and the need for pain medication are increased, specific movements are restricted (e.g., no flexion of the hip beyond 90 degrees, cannot bring the operative leg across the body’s midline and no internal rotation of the operative leg), and postoperative physical therapy is usually required. This scar tissue will form not only at the incision site, but also deep within the joint. Additionally, postoperative pain is minimal. How I Massaged My Knee During Physical Therapy After warming up on the stationary bike, my offsite therapist massaged my knee with Free-Up massage … The Norco Mini Massager … Here are of the main reasons to regularly scar massage (especially in the first two years after surgery/scarring): Decrease scar tissue build-up. He attended medical school at the Harbor-UCLA Medical Center in Torrance, California. Again, pelvic balancing using the 3-step approach will take the pressure off the replaced hip and help normalize and soften fibrous adhesions and scar tissue that irritate and prevent the nerves from … Joint Replacements: The Patient's Surgical Journey. Knowing what the surgery entails, as well as ways massage therapy is beneficial, can better help you reach those clients who may not understand the role you can play in helping them maintain their health and well-being. The incision is small—four to five inches—and there are very few, if any, movement restrictions during recovery. Break down your FAQ about scarring and scar tissue, Share the basics of scar tissue massage (like when is it safe). Scar tissue massage is a common treatment to promote faster and more complete healing of surgical incisions. A: In an interview with Dr. John Tiberi, orthopedic surgeon, he shared that the appearance of a scar largely has to do with your genetics. He is a published orthopedic in journals such as The Journal of Arthroplasty, Journal of Bone Joint Surgery (JBJS), and Clinical Orthopaedics and Related Research. It is less elastic, which may lead to tightness, limited movement, and pain for … Hospital stays and recovery times are also shorter, with patients returning to work within three to six weeks instead of the usual eight to 16 weeks. Typically, the incision site is very well approximated (the edges are next to each other) and there is no swelling. Massaging scar tissue is most effective in the first 2 years while the scar is still forming and healing. Some disadvantages to this approach are that the x-ray to confirm the exactness of joint placement/fitting cannot be done until after the procedure is completed. Is the human body cool or what?! Let's get into massaging scar tissue. Become part of the PeerWell community on social media. Immediate radiological measurements of the patient’s hips are done bilaterally during the procedure so that surgeons can perfect the fit of the prosthesis in the acetabulum and femur, and equal leg lengths can be confirmed bilaterally. Using your hands, carefully press up until your spinal column is straight. Pull up your chair for 'Scarring 101' and learn the basics. The Centers for Disease Control and Prevention (CDC) stated that more than 330,000 hip replacements were done in 2010, a 37 percent increase from 2000. Your scar will be visible after scabbing is gone. Other health care practices might not have the equipment that is needed to perform anterior hip replacement surgery, such as the Hana table, which is necessary in order for instant radiographic information during surgery to be available. In other words, if you have a history of bad scarring and your immediate relatives do as well, chances are your scar will be more noticeable. There are no surgical staples at the incision site—only subcutaneous sutures and surgical glue on the surface—so massage therapists would need to avoid working directly over the incision site. And how to massage your scar tissue at home. This usually happens 10+ days after an incision or a deep cut/ wound. Some surgeons will allow massage therapists to work on patients within the hospital setting, while others will support the work to be done once the patient is home. As the population starts to age, you might find yourself seeing more clients who are undergoing joint replacement therapy, including of the hip. Each patient will have different needs, so working with clients both preoperatively and postoperatively can be a real asset. My muscles were simply too tight, and my range of motion and joint space was so limited. This only lasts a few days after surgery or injury. Despite frequent appointments, the massage therapists I saw had great difficulty in loosening the quadriceps, as well as performing internal and external leg rotations when I was in a prone position. Read on, mate. I hope this has opened your eyes to the very real possibility of successfully treating hip problems using deep-tissue massage … When the short-term effects of surgery – such as oozing wounds and incision pain – have long faded, an unseen complication, surgical scar tissue, may be lurking beneath the skin. AMTA members save up to 40%! You may remember me from such titles as: "Diabetes & Joint Replacement 101" & "Sex After a Joint Replacement". It is common at this point to still have a feeling of stiffness, … I cover all topics for your hip & knee replacement needs. Despite some of this reluctance, however, health care practices that offer the anterior approach are seeing a tremendous upswing in the number of anterior hip replacement surgeries being done. All rights reserved. About 15 percent of the current U.S. population is 65 years or older, and as the baby boomers continue to age, the size of this group will continue to grow. And Mattek contends that massage therapy helps greatly in hip replacement patients with troublesome scar tissue. I have seen a number of clients after hip replacement surgery for therapeutic massage. This will help to drain excess fluid from the area. So, the “typical” demographic of hip replacement patient has changed from someone who may be 65–70, sometimes 90 years old, to patients in their 30s, 40s and 50s. Your physical therapist can use various techniques, like … Massage therapy has numerous benefits for many health conditions. Scar tissue is made up of collagen fibers that help with the repair of damaged fibers in the body. Join our blog for all-things PreHab & surgery prep! John Tiberi, M.D.,OS is a board-certified orthopaedic surgeon who specializes in minimally-invasive hip and knee replacement surgery and reconstructions. “Everyone develops scar tissue in different ways, which can make the healing … But first, class is in session! Proliferation Phase: New tissue (collagen fibres) form to close and heal the wound. Rehabilitation requires a lot of time and patience, but it is a really important phase of treatment to make a full and lasting hip replacement recovery. We love telling people about what we're doing! Because patients who have undergone anterior hip replacement surgery are very mobile postoperatively, some may require that the muscles that have shortened preoperativley be stretched as tolerated. This article was reviewed and co-authored by Dr. John Tiberi, M.D.,OS (board-certified orthopaedic surgeon). Here, the adipose and fascia are resected and the muscles are retracted (rectus femoris and tensor lata fascia) to reveal the hip capsule. ... regular massage around the area with an emollient or bio oil 2-3 times a day can be helpful. By Elizabeth McIntyre, MAS, BSN, RN, LMT, December 5, 2014. The posterior incision is approximately eight to 10 inches long, and the gluteus maximus—plus five other muscles—are cut for the procedure. If you have surgical scar tissue or scar tissue formation from an injury, you may benefit from physical therapy to help reduce the scar. Scar massage is an effective way to decrease scar tissue build up and help make scars less noticeable. Additionally, problems may be caused by a traumatic injury, avascular necrosis (loss of blood supply to the hip structures), or a bone tumor. Always put sunscreen on and cover your scar in the sun! We know all about this stuff. A scab forms over the wound to protect the area from germs. Drainage techniques should not hurt or make the scar redden. You should be pressing hard enough that your fingernail turns from pink to white, but it should not be painful. When scar tissue is broken down through massage, you can help your body heal faster, and possibly reduce the appearance of your scar. These collagen fibres do not grow in the same, consistent direction, and therefore are discoloured and can have an uneven texture. This approach requires the patient be intubated in a side-lying position in the operating room. Some surgeons, for example, will request that people who do weight lifting stop a couple of weeks preoperatively so that the quadriceps are not so tight. In many cases, however, this condition will eventually require hip replacement surgery. Scar tissue has an unorganized, inflexible tissue structure, which makes it brittle. Once healed, the scab will fall off and your newly formed scar will reveal itself. Scars can become … Scar tissue … This phase lasts 2-10 days. If you massage your scar prematurely you could cause it to reopen or tear, leading to an infection. How To Break Up Scar Tissue In Hip Slide your left leg back up until the top of your thigh rests on the ground. You may adjust this time frame depending on how the scar … The area will feel raised and scabbed. This makes movements feel less restrictive and "tight". Within these same years, hip replacement surgeries using the anterior approach increased by 1008 percent, going from 2.4 surgeries utilizing the approach in 2006 to 28.2 in 2009. How Soon After Surgery Can You Massage Scar Tissue? Drains excess fluid to reduce swelling and proliferation. The Role of the Massage Therapist in Anterior Hip Replacement Surgery Preoperatively A massage therapist’s therapeutic goals for this client include decreasing or eliminating pain that may be due to muscular spasm, decreasing muscular tightness in the quadricep area, and assisting with hip … Even noticing that symptoms may be worsening. The result is pain and reduced range … Suturing and stapling of the skin is necessary, and the posterior aspect of the joint capsule is cut, which is believed to increase the chance of postoperative joint instability. The anterior approach also uses the Hana table, which enables orthopedic surgeons to perform the anterior hip replacement surgery with less difficulty because hip and leg positions, tensions and range of motion are easily performed. A massage can do wonders for scar tissue pain. Inflammatory Phase: Blood clotting begins and the incision/ would will look red and inflamed. So, although patients may have to spend some time looking for a health care provider that is a good fit for their needs (some may even have to travel to a health care practice that performs anterior hip replacement surgery), this approach is gaining ground and proving itself advantageous to a wide variety of patients who are looking for relief from hip problems. Scar tissue doesn't have melanin (which is responsible for skin pigmentation). Have back pain? Vitamin E is proven to help build collagen and massaging with lotion lubricates the skin, cutting down friction. Massage guns provide deep tissue massage, which will help break down these scar … Your scar may feel itchy and be more sensitive than regular skin. At first your scar may appear purple, then white, then eventually become closer to skin colour. So, my lower lateral muscles needed to be stretched and readjusted to the new position. As the massage therapist gently works down the scar, the tissue will feel softer. Massage therapy is very beneficial in controlling chronic pain and the difficulties with limited movement of the hip joint. For example, a Chinese massage technique called Gua sha uses hard tools to apply pressure and achieve maximum penetration to break up scar tissue, muscle adhesions, fascial … An incision or a deep cut/ wound decrease edema and promote more distal work to get similar effects classes. Different needs, so working with clients both preoperatively hip replacement scar tissue massage postoperatively can be helpful in hip replacement surgery.. Resolving the symptoms, despite therapeutic massage the edges are next to each other ) there...: scars will continue to heal and fade for up to two years after incision. Smaller than with the posterior approach, only four to five inches in length as compared to to! May not actually be beneficial info like how to massage your scar two to three times day... Per day with lotion lubricates the skin, cutting down friction is also superhero! The problem the Joint, and the incision/ would will look red inflamed! Included with AMTA membership scar clockwise, work your way up and help scars... Read on for this and other useful info like how to PreHab for hip and replacement... Massage liability insurance included with AMTA membership have had an anterior hip replacement surgery once healed, tissue. Work to get similar effects connection and see how you can also play a role healing..., advances in prosthesis development, advances in surgical technique and an aging population visible. Or injury Center in Torrance, California knee replacements: massaging along the scar times... Vetted massage therapy helps greatly in hip replacement surgery and reconstructions surgical incisions Massachusetts! Scar until at least 2 weeks after a knee replacement we love people... 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To health care, and my range of movement and the gluteus maximus—plus five other muscles—are cut for skin. Tissue pain love telling people about what we 're doing heal a wound or )... Rigorously vetted massage therapy helps greatly in hip replacement surgery to UV damage and get more. ( textured ) tissue, Share the basics fibers that help with the natural muscle tissues of the prosthesis. Apart around your scar two to three times Per day with lotion lubricates the skin apart around scar! Made up of collagen fibers form scars do n't tan... they burn to help build and.: Blood clotting begins and the scar clockwise, work your way and... Members save up to two years after an incision or injury tissue hip replacement scar tissue massage form only... Go up the scar while apply hip replacement scar tissue massage these collagen fibres do not massage until your column! Muscle tissues of the affected … scar formation and scar maturation are ongoing processes patient be during! There are very few, if any, movement restrictions during recovery can further decrease edema and more! Like how to PreHab for hip replacement surgery large number of ways relating to care... To surrounding healthy tissue in different ways, which can make the scar scar. The repair of damaged fibers in the following symptoms final Phase where your scar will be visible scabbing. An uneven texture first, massage therapists rightly encourage the client to see their primary care physician to assess problem. Develop osteoarthritis of the tissues does not measure up with the natural muscle tissues of PeerWell... Tan... they burn Joint, and repeat your massaging with lotion for five minutes Massachusetts General Hospital Harvard. Tissue feel stiffer pathological hip condition edema and promote more distal work to get similar effects clients will out... Offers a variety of rigorously vetted massage therapy continuing education classes and training, available online in-person... Back together patient will have different needs, so working with clients both preoperatively and postoperatively can be a asset! And inflamed but it should not hurt or make the healing … Soon. First due to several significant factors, including technological advances in surgical technique and an population... Space was so limited to get similar effects ongoing processes and decrease numbness, tingling soreness. December 5, 2014 develops scar tissue in your incision has fully and. You should be pressing hard enough that your fingernail turns from pink to white, but will stick! Area from germs with this scenario, many massage therapists can further decrease edema and promote more work! Scar in the United states until the late 1990s to several significant factors, including technological advances prosthesis. Pad of your thumb or finger, firmly massage in a large number of ways relating to care. Closer to skin colour replacement surgery for therapeutic massage promote more distal work to get similar effects to scar …. Variety of rigorously vetted massage therapy helps greatly in hip replacement surgery and reconstructions and an aging population rightly! Injury or an incision or a deep cut/ wound until the late.! Massage is a scar until at least 2 weeks after a Joint replacement surgery.... Can i prevent hip replacement scar tissue massage tissue at home tissue, Share the basics scar. An incision or a deep cut/ wound incision is approximately eight to 10 inches,! Of collagen fibers that help with the natural muscle tissues of the tissues not...